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At a median follow-up of 4.2 years, incidence of the composite endpoint of stroke, acute coronary syndrome, heart failure and cardiovascular death was lower in the intensive treatment group (HR 0.79, 95% CI 0.690.90), with no age-related interaction observed

The study found that there was a direct link between Acetyl-L-Carnitine and lactic acid levels

Reported side effects across trials are generally mild: headache, GI upset, and dizziness are most common, alongside occasional allergic skin reactions[1]Ginkgo Biloba Chemistry and Uses PubMed View source